Fixed
Appliance
Q What is my brace made up of?
A Your
brace is made up of small brackets glued to
your teeth. The
brackets are handles used to hold your teeth
and straighten them; the archwire, which runs
through the brackets moves the teeth. We
start with the most gentle archwire and gradually
move up through five sizes. The archwire
is held in place by tiny elastic bands, which
come in different colours.
Q Will it hurt?
A It is usual for the teeth
to be uncomfortable for the first few days after
the brace is first fitted - stay with a soft
diet and if necessary take one or two tablets
of paracetamol or ibuprofen.
Q What if bits break off?
A If
one bracket comes off then leave it until your
next scheduled visit. If
several break off then phone for an appointment
to have the brace repaired.
Often as the teeth move
the archwire sticks out at the back. If
this scratches your cheek come in to have the
end cut off (ask reception for a packet of
wax in case this happens).
Q How do I clean my teeth?
A Since
the brace is fixed you cannot remove it for
brushing. It is
extremely important to spend extra
time brushing all around the brace and especially
the gums. If the dirt builds up then your
gums will bleed a lot (gingivitis) and your teeth
will decay. Special brushes and fluoride
mouthwashes for daily use can usually be obtained
from the receptionist of your dental surgery
Q Will there
be marks on my teeth when the brace comes off?
A Poor
cleaning and too many fizzy drinks can cause
permanent decay marks. The importance
of thorough brushing and the use of a fluoride
mouthwash cannot be emphasised enough. |
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Q What about
sports?
A Contact
sports such as rugby present a problem since
it is difficult to make a gum shield that will
fit over the brace. A reasonable solution
is to buy a cheap gumshield from a sports shop
which can be softened in hot water and moulded
over the brace.
Q How long
before the brace is removed?
A It
usually takes about 18 months, occasionally longer,
to straighten your teeth. "Traintrack" braces
are very good at straightening teeth so that
they look better in months. It is important
to remember, however, that if the brace is removed
too quickly before the teeth have settled into
their new positions, then the teeth tend to go
crooked again.
Q So how are
the teeth kept straight after the fixed brace
is removed?
A Usually
we make a removable brace called a retainer to
wear at nights for at least 12 months. Sometimes
a wire is fixed to the insides of the teeth to
hold them straight.
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